Sun City Center Open Mri in Lakeland - Specialist
Sun City Center Open Mri - NPI 1245319508
Sun City Center Open Mri is a Specialist in Lakeland, Florida. Sun City Center Open Mri practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sun City Center Open Mri is 1245319508. The last update date is 2015-12-04.
Sun City Center Open Mri's current location address is 3830 S Florida Ave, Lakeland, Florida. You can contact this provider via phone number 8636468955 and fax number 8636485216. The mailing address for Sun City Center Open Mri is 3830 S Florida Ave, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sun City Center Open Mri |
|---|---|
| Address | 3830 S Florida Ave, Lakeland, Florida |
| Phone Number | 8636468955 |
| Fax Number | 8636485216 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Holz K Siegfried |
| Credentials | MD |
| Telephone Number | 8636468955 |
NPI Number Detail
| NPI Number | 1245319508 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2015-12-04 |
Provider Mailing Address Detail
| Address | 3830 S Florida Ave |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338131105 |
| Phone Number | 8636468955 |
| Fax Number | 8636485216 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME40704 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 257741103 | FL | -- | |
| V2920 | FL | BLUE CROSS BLUE SHIELD | |
| 2376442 | FL | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sun City Center Open Mri by the Centers for Medicare & Medicaid Services?
The Sun City Center Open Mri has been assigned the NPI (National Provider Identifier) 1245319508 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Sun City Center Open Mri is located?
The Sun City Center Open Mri is situated at the following address: 3830 S Florida Ave, Lakeland, FL, 338131105.
What is the Sun City Center Open Mri's area of specialization and corresponding taxonomy classification?
The Sun City Center Open Mri's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Sun City Center Open Mri receive its 1245319508 assignment from the Centers for Medicare & Medicaid Services?
The Sun City Center Open Mri was assigned its 1245319508 by the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the information pertaining to Sun City Center Open Mri most recently updated or revised?
The details related to Sun City Center Open Mri, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-04.